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French RJ, Hirsch J, Hemingway J, Hughes DR, Lerebours R, Luo S, Allen BC, Duszak R, Rosman DA. Association and Trends in Medicare Denials and Utilization for Brain CT: Indirect Impacts by Targeted Policy Intervention? Curr Probl Diagn Radiol 2022; 52:31-34. [DOI: 10.1067/j.cpradiol.2022.07.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2022] [Accepted: 07/27/2022] [Indexed: 11/22/2022]
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DeVoe J, Angier H, Hoopes M, Gold R. A new role for primary care teams in the United States after "Obamacare:" Track and improve health insurance coverage rates. Fam Med Community Health 2016; 4:63-67. [PMID: 28966926 PMCID: PMC5617364 DOI: 10.15212/fmch.2016.0117] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Maintaining continuous health insurance coverage is important. With recent expansions in access to coverage in the United States after "Obamacare," primary care teams have a new role in helping to track and improve coverage rates and to provide outreach to patients. We describe efforts to longitudinally track health insurance rates using data from the electronic health record (EHR) of a primary care network and to use these data to support practice-based insurance outreach and assistance. Although we highlight a few examples from one network, we believe there is great potential for doing this type of work in a broad range of family medicine and community health clinics that provide continuity of care. By partnering with researchers through practice-based research networks and other similar collaboratives, primary care practices can greatly expand the use of EHR data and EHR-based tools targeting improvements in health insurance and quality health care.
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Affiliation(s)
| | | | | | - Rachel Gold
- Kaiser Permanente Center for Health Research Northwest Region, Portland, OR, USA
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Cahalin LP, Kaminsky L, Lavie CJ, Briggs P, Cahalin BL, Myers J, Forman DE, Patel MJ, Pinkstaff SO, Arena R. Development and Implementation of Worksite Health and Wellness Programs: A Focus on Non-Communicable Disease. Prog Cardiovasc Dis 2015; 58:94-101. [PMID: 25936908 DOI: 10.1016/j.pcad.2015.04.001] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
The development and implementation of worksite health and wellness programs (WHWPs) in the United States (US) hold promise as a means to improve population health and reverse current trends in non-communicable disease incidence and prevalence. However, WHWPs face organizational, economic, systematic, legal, and logistical challenges which have combined to impact program availability and expansion. Even so, there is a burgeoning body of evidence indicating WHWPs can significantly improve the health profile of participating employees in a cost effective manner. This foundation of scientific knowledge justifies further research inquiry to elucidate optimal WHWP models. It is clear that the development, implementation and operation of WHWPs require a strong commitment from organizational leadership, a pervasive culture of health and availability of necessary resources and infrastructure. Since organizations vary significantly, there is a need to have flexibility in creating a customized, effective health and wellness program. Furthermore, several key legal issues must be addressed to facilitate employer and employee needs and responsibilities; the US Affordable Care Act will play a major role moving forward. The purposes of this review are to: 1) examine currently available health and wellness program models and considerations for the future; 2) highlight key legal issues associated with WHWP development and implementation; and 3) identify challenges and solutions for the development and implementation of as well as adherence to WHWPs.
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Affiliation(s)
- Lawrence P Cahalin
- Department of Physical Therapy, Leonard M. Miller School of Medicine, University of Miami, Miami, FL.
| | - Leonard Kaminsky
- Human Performance Laboratory, Clinical Exercise Physiology Program, Ball State University, Muncie, IN
| | - Carl J Lavie
- Department of Cardiovascular Diseases, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - The University of Queensland School of Medicine, New Orleans, LA
| | | | | | - Jonathan Myers
- Division of Cardiology, VA Palo Alto Healthcare System, Palo Alto, CA
| | - Daniel E Forman
- Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, MA
| | - Mahesh J Patel
- Department of Medicine, Division of Cardiology, Duke University, Durham, NC
| | - Sherry O Pinkstaff
- Department of Physical Therapy, University of North Florida, Jacksonville, FL
| | - Ross Arena
- Department of Physical Therapy, College of Applied Health Sciences, University of Illinois, Chicago, IL
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David Prologo J, Meltzer CC. Health Care Reform in the United States: An Opportunity for Interventional Radiologists. J Vasc Interv Radiol 2014; 25:881-7. [DOI: 10.1016/j.jvir.2014.02.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2013] [Revised: 02/26/2014] [Accepted: 02/27/2014] [Indexed: 01/17/2023] Open
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Hirsch JA, Donovan WD, Barr RM, Nicola GN, Rosman DA, Schaefer PW, Manchikanti L. The Independent Payment Advisory Board. AJNR Am J Neuroradiol 2013; 35:1066-9. [PMID: 24136648 DOI: 10.3174/ajnr.a3736] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Affiliation(s)
- J A Hirsch
- From the Department of Radiology (J.A.H., D.A.R., P.W.S.), Massachusetts General Hospital, 55 Fruit St, Gray Bldg., 2nd Floor, Boston, Massachusetts
| | - W D Donovan
- Norwich Diagnostic Imaging Associates (W.D.D.), Norwich, Connecticut
| | - R M Barr
- Mecklenburg Radiology Associates (R.M.B.), Charlotte, North Carolina
| | - G N Nicola
- Hackensack University Medical Center (G.N.N.), Hackensack, New Jersey
| | - D A Rosman
- From the Department of Radiology (J.A.H., D.A.R., P.W.S.), Massachusetts General Hospital, 55 Fruit St, Gray Bldg., 2nd Floor, Boston, Massachusetts
| | - P W Schaefer
- From the Department of Radiology (J.A.H., D.A.R., P.W.S.), Massachusetts General Hospital, 55 Fruit St, Gray Bldg., 2nd Floor, Boston, Massachusetts
| | - L Manchikanti
- Pain Management Center of Paducah (L.M.), Paducah, KentuckyUniversity of Louisville (L.M.), Louisville, Kentucky
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Arena R, Guazzi M, Briggs PD, Cahalin LP, Myers J, Kaminsky LA, Forman DE, Cipriano G, Borghi-Silva A, Babu AS, Lavie CJ. Promoting health and wellness in the workplace: a unique opportunity to establish primary and extended secondary cardiovascular risk reduction programs. Mayo Clin Proc 2013; 88:605-17. [PMID: 23726400 PMCID: PMC7304414 DOI: 10.1016/j.mayocp.2013.03.002] [Citation(s) in RCA: 57] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2013] [Revised: 03/04/2013] [Accepted: 03/11/2013] [Indexed: 12/16/2022]
Abstract
Given the burden of cardiovascular disease (CVD), increasing the prevalence of healthy lifestyle choices is a global imperative. Currently, cardiac rehabilitation programs are a primary way that modifiable risk factors are addressed in the secondary prevention setting after a cardiovascular (CV) event/diagnosis. Even so, there is wide consensus that primary prevention of CVD is an effective and worthwhile pursuit. Moreover, continual engagement with individuals who have already been diagnosed as having CVD would be beneficial. Implementing health and wellness programs in the workplace allows for the opportunity to continually engage a group of individuals with the intent of effecting a positive and sustainable change in lifestyle choices. Current evidence indicates that health and wellness programs in the workplace provide numerous benefits with respect to altering CV risk factor profiles in apparently healthy individuals and in those at high risk for or already diagnosed as having CVD. This review presents the current body of evidence demonstrating the efficacy of worksite health and wellness programs and discusses key considerations for the development and implementation of such programs, whose primary intent is to reduce the incidence and prevalence of CVD and to prevent subsequent CV events. Supporting evidence for this review was obtained from PubMed, with no date limitations, using the following search terms: worksite health and wellness, employee health and wellness, employee health risk assessments, and return on investment. The choice of references to include in this review was based on study quality and relevance.
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Affiliation(s)
- Ross Arena
- Division of Physical Therapy, Department of Orthopaedics and Rehabilitation, and the Division of Cardiology, Department of Internal Medicine, University of New Mexico, Albuquerque.
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